Application To Relieve Estate From Administration - Ohio Probate Court
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1
2PROBATE COURT OF ________________ COUNTY, OHIO
ESTATE OF ______________________________________________________________, DECEASED
CASE NO. _______________________
APPLICATION TO RELIEVE ESTATE FROM ADMINISTRATION
[R.C. 2113.03]
_______________________________________________________
Applicant states that decedent died on
________________________________________________________________
Decedent's domicile was
Street Address
________________________________________________________________________________
City or Village, or Township if unincorporated area
County
________________________________________________________________________________
Post Office
State
Zip Code
[Check one of the following]
Decedent's will has been admitted to probate in this Court.
To applicant's knowledge, decedent did not leave a will.
[Check one of the following]
The assets are $15,000 or less and decedent died on or after January 1, 1976.
The assets are $25,000 or less and decedent died on or after October 20, 1987.
The assets are $35,000 or less and decedent died on or after November 9, 1994.
The assets are $50,000 or less; the surviving spouse is entitled to all of the assets and the decedent died on or after April
16, 1993.
The assets are $85,000 or less; the surviving spouse is entitled to all of the assets and the decedent died on or after
September 14, 1993.
The assets are $100,000 or less; the surviving spouse is entitled to all of the assets and the decedent died on or after March
18, 1999.
Applicant asks that the estate be relieved from administration because the assets do not exceed the statutory limits. A
statement of the assets and liabilities of the estate is listed on the attached Form 5.1.
The decedent's surviving spouse, next of kin, legatees, and devisees known to applicant, are listed on the attached Form 1.0.
___________________________________
_____________________________________
Attorney for Applicant
Applicant
___________________________________
_____________________________________
Typed or Printed Name
Typed or Printed Name
___________________________________
_____________________________________
Address
Address
___________________________________
_____________________________________
___________________________________
_____________________________________
Phone Number (include area code)
Phone Number (include area code)
Attorney Registration No.
___________________________
FORM 5.0 - APPLICATION TO RELIEVE ESTATE FROM ADMINISTRATION
5/3/99
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